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General NPI Number Information
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NPI Number | 1851528129
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Entity Type | Organization
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Legal Business Name | BIONIC RESOURCES LLC
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 18 WARD AVE
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City | RUMSON
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State | NJ
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Zip | 07760-1916
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Country | US
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Telephone | 917-337-7557
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Fax | 732-936-9828
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Provider Business Mailing Address
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Address Line | 18 WARD AVE
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City | RUMSON
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State | NJ
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Zip | 07760-1916
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Country | US
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Telephone | 917-337-7557
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Fax | 732-936-9828
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERIC SCHWELKE
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Credential | CPO LPO
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Telephone | 917-337-7557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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